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Montana rates for HCPCS J7189

Factor Viia (Antihemophilic Factor Recombinant) (Novoseven Rt) 1 Microgram (Desc Rvsd 1/1/21)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $3.21 / $5.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.88 / $6.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.88 / $6.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.88 / $3.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $2.66